Trial reportBMJ open2018
Integrating culturally informed approaches into physiotherapy assessment and treatment of chronic pain: a pilot randomised controlled trial.
Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Group Differences Between Countries and Between Languages in Pain-Related Beliefs, Coping, and Catastrophizing in Chronic Pain: A Systematic Review.Pain medicine (Malden, Mass.) · 2020Pooled it
- Mind the (cultural competency) gap: bridging cultural barriers in physiotherapy practice - a quality improvement project.Primary health care research & development · 2026Article
- Cultural tailoring of pain management approaches: a scoping review.International journal for equity in health · 2025Article
- Adaptation and validation of the Persian version of the foot Health Status Questionnaire in patients with plantar pain: evaluation of test-retest.Annals of medicine · 2025Article
- A modern way to teach and practice manual therapy.Chiropractic & manual therapies · 2024Review
- Attending to Marginalization in The Chronic Pain Literature: A Scoping Review.Canadian journal of pain = Revue canadienne de la douleur · 2024Article
- Electroacupuncture for slow flow/no-reflow phenomenon in patients with acute myocardial infarction undergoing percutaneous coronary intervention: protocol for a pilot randomized controlled trial.Frontiers in cardiovascular medicine · 2024Article
- Cultural Competence In Physical Therapy: The Road Less Traveled.The Journal of manual & manipulative therapy · 2023Article
- The feasibility of implementing a cultural mentoring program alongside pain management and physical rehabilitation for chronic musculoskeletal conditions: results of a controlled before-and-after pilot study.BMC musculoskeletal disorders · 2023Article
- Barriers and strategies for recruiting participants who identify as racial minorities in musculoskeletal health research: a scoping review.Frontiers in public health · 2023Article
- Diet and Chronic Non-Cancer Pain: The State of the Art and Future Directions.Journal of clinical medicine · 2021Review
- A Mixed-Methods Investigation into Patients' Decisions to Attend an Emergency Department for Chronic Pain.Pain medicine (Malden, Mass.) · 2021Article
- Definitions ofInternational journal of environmental research and public health · 2021Review
- Adherence to and the Maintenance of Self-Management Behaviour in Older People with Musculoskeletal Pain-A Scoping Review and Theoretical Models.Journal of clinical medicine · 2021Article
- Acupuncture for cancer pain: protocol for a pilot pragmatic randomised controlled trial.BMJ open · 2019Article
- Recognising ethnocultural diversity in chronic pain assessment: validation of the Pictorial Representation of Illness and Self Measure (PRISM) for use with culturally diverse communities.Health and quality of life outcomes · 2019Article
- Clinician's Commentary on Vazir et al.Physiotherapy Canada. Physiotherapie Canada · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate patient engagement with, and the feasibility of, a novel, culturally adapted physiotherapy pain management approach.
designA participant-blinded and assessor-blinded pilot randomised controlled trial.
settingOutpatient physiotherapy departments at two public hospitals and one district pain clinic.
participantsAdults (n=48) with chronic musculoskeletal pain (daily pain >3 months), who self-identified as Mandaean, Assyrian or Vietnamese, were randomised to one of two physiotherapy treatment conditions.
interventions24 participants underwent combined group and individualised treatment described as 'culturally adapted physiotherapy', while 24 underwent evidence-informed 'usual physiotherapy care'. Both treatment arms consisted of up to 10 sessions over a 3-month period. OUTCOME MEASURES: Patient engagement was measured via participant attendance, adherence and satisfaction data. Secondary outcomes included clinical measures of pain severity, interference and suffering, physical function and negative emotional state.
results96% of participants undergoing culturally adapted physiotherapy completed treatment, compared with 58% of the usual physiotherapy group. For the culturally adapted group attendance (87%±18%) and adherence (68%±32%) were higher relative to usual care (68%±32% and 55%±43%). Satisfaction was similar for the culturally adapted (82.7%±13.4%) and usual care (79.3±17.3) groups. For secondary outcomes, a significant between-group effect for pain-related suffering in favour of the culturally adapted group was observed with a medium effect size (partial η
conclusionsAligning treatment with the beliefs and values of culturally and linguistically diverse communities enhances patient engagement with physiotherapy. These results support the feasibility of a larger, multisite trial to determine if improved engagement with culturally adapted physiotherapy translates to improved clinical outcomes. TRIAL REGISTRATION NUMBER: ACTRN12616000857404; Pre-results.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.